The dentino-enamel junction: a structural and microanalytical study of early mineralization

The spatial localization of enamel and dentin apatite crystals of the rat tooth has been studied by electron microscopic methods--bright field, selected-area dark field, and electron spectroscopic imaging. The sequential events of dentin calcification followed by the formation and growth of enamel crystals were determined and compared to previous studies. In dentin, initial sites of mineral deposition occur in areas subjacent to the dentino-enamel junction (DEJ). The subsequent expansion of these deposits progresses towards the DEJ to the terminal ends of dentin collagen fibrils. Concomitantly, an electron-dense enamel matrix is released by ameloblasts; with the presence of this matrix, the growth of enamel crystals occurs from the underlying calcified dentin. Enamel crystal growth continues to within close proximity of the plasma membrane of ameloblasts. A close spatial relationship between enamel and the crystals of calcified dentin collagen fibrils was observed by selected-area dark field imaging. Such areas of crystal intimacy show a co-localization of calcium and phosphorus extending from calcified collagen fibrils to enamel sheaths which encase enamel crystals. A working model of the spatial relationship between crystals of dentin and enamel is presented and discussed in light of mechanisms by which calcified dentin may promote the formation of enamel crystals.

The influence of surface free-energy on planimetric plaque growth in man

The purpose of this study was to examine the change in plaque area over nine days in vivo on four materials with different surface free-energies (s.f.e.). Twelve healthy dental students participated in a cross-over, split-mouth, double-blind study. Supragingival plaque formation was recorded over a nine-day period, on four different materials: fluorethylenepropylene (Teflon) (FEP), parafilm (PAR), cellulose acetate (CA), and enamel (E) with s.f.e. of 20, 26, 57, and 88 erg/cm2, respectively. Strips made from the first three materials were stuck to the buccal surface of an upper incisor. The remaining incisor was carefully polished and served as an enamel surface. The increase in plaque was evaluated after three, six, and nine days. A planimetrical analysis was used so that the plaque area could be expressed as a percentage of the total buccal tooth surface. This procedure was repeated on each subject, so that at the end, each pair of central or lateral incisors received the four tested materials. The results indicated that the adherence of micro-organisms on pellicle-coated substrata was influenced by the material's s.f.e.; there was an association between the s.f.e. of the substrata and the supragingival plaque extension in vivo. High surface free-energy substrata in the oral cavity attracted more micro-organisms than did low energetic materials. Additionally, the bacterial adhesion seemed very weak on surfaces with a low s.f.e.

Marginal ridge strength of restored teeth with modified Class II cavity preparations

This study compared marginal ridge fracture resistance in two groups of teeth restored with modified Class II cavity preparations, with control groups. The results indicated that the composite resin and dental amalgam restored teeth fractured at compressive loads that were not statistically different from those of the control (unprepared, intact) teeth. The marginal ridges of the unrestored, prepared teeth were significantly weaker.

[Age-related characteristics of the surface bioelectrical potential of human, canine and rat teeth and features of its distribution over the surface of the crown]

Using a digital electron voltmeter, bioelectrical potentials (BEPs) of dental crowns have been recorded in 180 patients, 36 dogs, and 93 white non-inbred rats. It has been established that the surface BEP is a marker of dental enamel maturation and does not depend on the species of mammals. On the other hand maturation processes differ in their rate on the cutting edge, equator, and neck: with advancing age algebraic difference between the magnitudes of surface BEPs decreases in humans and increases in dogs and rats.

Effect of zeta potential and surface energy on bacterial adhesion to uncoated and saliva-coated human enamel and dentin

Physicochemical surface characteristics of early plaque-forming bacteria and of human tooth surfaces were measured to establish their role in bacterial adhesion to intact dental tissue slabs. In addition, the influence of an experimental salivary pellicle was evaluated. Strains of S. mutans, S. sanguis, S. salivarius, A. viscosus, and A. odontolyticus showed relatively high surface free energies (range, 99-128 mJ.m-2) and carried a negative surface charge, at both physiological (mu = 0.057) and low (mu = 0.020) ionic strengths of the medium. Very large differences in hydrophobicity were detected when the hexadecane adsorption test was used for measurement. Powdered enamel and dentin were also negatively charged at low ionic strength but were slightly positively charged in the physiological buffer. The surface free energy of enamel and dentin increased upon saliva coating, whereas the surface charge was always negative. The adhesion experiments showed: (1) large differences in the binding of various bacteria to the same surface; (2) an up to 20-fold difference in the binding of the same bacterium to different surfaces, although the binding of some strains was relatively independent of the type of surface or presence of a salivary pellicle; (3) a significant decrease in adhesion when the ionic strength of the medium was lowered, due to increased electrostatic repulsion (however, the adhesion of some bacteria was independent of the ionic strength of the medium); (4) different time-dependent adherence kinetics, depending on both the bacteria and nature of the solid surface; and (5) a propensity for plaque streptococci to bind to uncoated dentin.

Temperature gradients at two locations within the tooth during cavity preparation in vitro

An improved method has been developed to measure temperature at both the DEJ and the PDJ during cavity preparation. This method allows a more realistic determination of the effects on the pulp tissue of various tooth reduction procedures. In future studies, the same method could also be used to determine pulpal effects from various restorative materials.

Wear of composite resin restorations in primary versus permanent molar teeth

The purpose of this investigation was to compare the wear rates of posterior composite resin restorations in primary versus permanent teeth. Based on theories of composite wear in primary molars, as well as on empirical observations, we hypothesized that wear would be greater in permanent tooth restorations. In Part I of the study, quantitative wear data from four different clinical trials (three permanent tooth studies and one primary tooth study) were compared. The same posterior composite restorative material was investigated in each of the four studies. In Part II of the study, quantitative wear data were drawn from a single clinical trial wherein the same experimental posterior composite material was placed in primary and permanent molars in the same children. In Part II, the baseline sample size included posterior composite restorations placed in 92 primary and 95 permanent molars in all children (ages 7-10). Quantitative wear data were obtained by the cast assessment method at baseline, six, 12, and 24 months. The 24-month sample size was based on 48 available primary molar restorations and 89 permanent molar restorations. The loss of primary restorations was due almost exclusively to natural exfoliations. Findings in Part I revealed no significant difference in the wear of primary versus permanent molar restorations. In Part II, wear findings for primary molar versus permanent teeth, respectively, were as follows (in micrometers): 47 versus 49 at six months; 86 versus 80 at 12 months; and 133 versus 131 at 24 months. With a Wilcoxon two-sample test and an alpha level of 0.05, there were no significant differences at any recall for the wear rate of primary versus permanent restorations. These results differ sharply from findings reported by others.

Cyclic induction and rapid movement of sequential waves of new smooth-ended ameloblast modulation bands in rat incisors as visualized by polychrome fluorescent labeling and GBHA-staining of maturing enamel

The movement of smooth-ended ameloblast modulation bands was studied in continuously erupting Tincisors of male Wistar rats, with fluorochromes such as calcein (green), xylenol orange (red), tetracycline (yellow), and calcein blue (turquoise) used to label maturing enamel intensely at sites delimiting the location of smooth-ended ameloblasts at the time of injection. Hence, a fluorescent label of one color was injected to establish a reference position at time "0" followed by one or more fluorescent labels of different colors, or by in vitro enamel staining with glyoxal bis(2-hydroxyanil)(GBHA), at various times after the initial injection. For example, rats injected with calcein followed by xylenol orange at 10 min or two, four, six, or 12 hr later showed zero, 367, 888, 1259, and 2833 μm incisal movement, respectively, of the red bands relative to companion green fluorescent bands in the mandibular incisors. If one takes into account the eruption rate for these teeth (27.1 μm per hr), these data were indicative of a coordinated, wave-like movement of smooth-ended ameloblast modulation bands incisally along the length of the tooth at a mean rate of 243 μm per hr. Measurements and graphic plots of the distribution of smooth-ended ameloblast bands in histological sections and in GBHA-stained teeth revealed not only that such bands were positioned at all possible locations along the length of the maturation zone within a group of different teeth, but also that the average interband distance equaled about 2100 μm in the apical part of the maturation zone. Hence, new modulation waves appear to arise near the region of post-secretory transition and travel along the ameloblast layer toward the gingival margin about once every 8.5 hours. This suggests that a given cohort of ameloblasts may modulate as frequently as three times a day and complete a minimum of 45 modulation cycles by the end of enamel maturation.

Function of amelogenins in porcine enamel mineralization during the secretory stage of amelogenesis

The purpose of this investigation was to study the properties of amelogenins present in the secretory stage of amelogenesis of porcine enamel, and to explore their possible role in enamel formation. Interest was focused on three species of amelogenins having different properties regarding localization in the forming enamel, solubility, adsorption affinity onto hydroxyapatite (HA), and inhibitory activity of HA growth. The results suggest that the secreted 25-kilo-Dalton (kDa) parent amelogenin may directly regulate the growth kinetics and the habit of forming crystals through selective adsorption onto specific crystal surfaces. The observed constant distribution of 20-kDa amelogenin during the secretory stage of amelogenesis may be explained by steady-state conditions of two degradation processes: from the 25-kDa to the 20-kDa species; and, subsequently, from the 20-kDa to the 13-kDa and 11-kDa species. The former process could be crucial to induction of a slow growth of the crystals in directions of width and thickness, as observed following the initial, preferential growth parallel to the long-axis direction. Possible modulation of this slow growth by the presence of 20-kDa amelogenin as a weak inhibitor or a space-filling matrix through the secretory stage is still a very open question. The concentration gradient of the soluble amelogenins from the inner to the outer enamel would promote the diffusion toward the ameloblasts and the removal of the amelogenins by the cells. It should be pointed out that the soluble moieties (13 kDa and 11 kDa) in the fluid may also play a regulatory function with respect to the driving force for crystal growth through a weak Ca-binding, thus reducing the ionic calcium activity.

Evidence for a resorption inhibitor in dentin

The ability of stimulated and unstimulated peritoneal macrophages to spread in vitro on different inorganic and organic components of dental tissues was studied in order to establish morphologic evidence in favor of a resorption inhibitor in dentin. Macrophages were seeded onto enamel, dentin, predentin, demineralized dentin and collagen-coated coverslips and examined with scanning electron microscopy after varying incubation periods. The cells readily attached and spread on enamel, dentin and collagen-coated coverslips. Cells attached but showed no signs of spreading when incubated on predentin or demineralized dentin. It was concluded that the resistance to resorption of predentin and dentin rests in the organic, non-collagenous component of the tissue, indicating the presence of a resorption inhibitor in dentin.

Neuroregulation of protein synthesis in odontoblasts of the first molar of the rat after wounding

Odontoblasts respond to occlusal trauma by increased elaboration of a matrix which is subsequently calcified to form reparative dentin. The purpose of the present study was to analyze quantitatively and compare the ability of odontoblasts to synthesize collagen after wounding in rats with an intact innervation (baseline) and in rats with sensory (inferior alveolar nerve, IAN) and/or sympathetic (superior cervical ganglion, SCG) surgical denervation. Surgery was performed 7 days prior to wounding. All rats had 1 mm of enamel and dentin removed from the occlusal surface of the first mandibular molar (resected side) with the contralateral tooth serving as a control. Rats were killed 1 h after injection with 3H-proline on days 0, 5, 10 or 15 after wounding, and mandibles were removed and processed for autoradiography. Grain counts were performed over odontoblasts throughout the pulp horns for each time period and for control and experimental molars in intact (baseline) and denervated groups. When compared to the control baseline, the experimental baseline data showed increased 3H-proline uptake throughout the study with a peak at 5 days. When compared to the baseline data, IAN and SCG results demonstrated a delay or attenuation of the protein synthetic response. The results indicate that the sensory and sympathetic neural components may regulate odontoblastic response to wounding.